This provider's $10.5M in total Medicare payments ranks in the 97th percentile of Ambulatory Surgical Center providers nationally.
Their average markup ratio of 7.37x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 136% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 192% in 2020
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2019 | $12.0K | $1.9K | 6.31x | $10.1K | $787.4K | 467 | 455 |
| 2020 | $15.4K | $2.0K | 7.81x | $13.4K | $2.3M | 831 | 801 |
| 2021 | $24.4K | $3.1K | 7.84x | $21.3K | $2.7M | 925 | 879 |
| 2022 | $23.7K | $3.0K | 7.78x | $20.6K | $2.9M | 847 | 802 |
| 2023 | $15.5K | $1.9K | 8.32x | $13.6K | $1.9M | 913 | 837 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64590 | Insertion or replacement of peripheral or gastric neurostimulator generator | 186 | $2.6M | $13.8K | 6.80x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 142 | $2.6M | $18.0K | 4.72x |
| 27447 | Repair of knee joint, lower or upper part of joint, inside and outside area | 115 | $780.5K | $6.8K | 9.15x |
| 64561 | Insertion of sacral nerve neurostimulator electrodes, accessed through the skin | 208 | $745.2K | $3.6K | 6.53x |
| 27130 | Replacement of thigh bone and hip joint prosthesis | 76 | $518.6K | $6.8K | 9.20x |
| 51715 | Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope | 317 | $428.6K | $1.4K | 4.30x |
| 64581 | Incision to insert sacral nerve neurostimulator electrodes | 105 | $392.0K | $3.7K | 9.51x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 112 | $384.6K | $3.4K | 8.20x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 38 | $380.5K | $10.0K | 8.33x |
| 49505 | Repair of groin hernia patient age 5 years or older | 281 | $259.1K | $921.99 | 7.24x |
| 0275T | Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin | 56 | $169.4K | $3.0K | 9.16x |
| C9740 | Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants | 29 | $148.7K | $5.1K | 5.78x |
| 62362 | Implantation or replacement of programmable spinal canal drug infusion pump | 14 | $144.9K | $10.3K | 7.04x |
| 52281 | Dilation of bladder canal (urethra) using an endoscope | 174 | $104.7K | $601.81 | 9.55x |
| 55700 | Biopsy of prostate gland | 168 | $101.1K | $601.64 | 11.15x |
| 29881 | Removal of one knee cartilage using an endoscope | 80 | $80.2K | $1.0K | 15.65x |
| 52287 | Examination with injections of chemical for destruction of bladder using an endoscope | 119 | $72.4K | $608.79 | 14.67x |
| 52204 | Biopsy of the bladder using an endoscope | 120 | $72.1K | $600.66 | 11.95x |
| 29848 | Release of wrist ligament using an endoscope | 131 | $67.5K | $515.62 | 26.16x |
| 57282 | Repair of pelvic ligaments through vagina | 30 | $62.7K | $2.1K | 8.23x |
This provider submits charges 7.37 times higher than what Medicare actually pays.
A markup ratio of 7.37x means for every $100 Medicare pays, this provider initially charges $737. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Ambulatory Surgical Center providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Laser & Surgical Services At Center For Sight Llc | Sarasota, FL | $47.1M | ✓ Clear |
| St Lukes Surgical Center Inc | Tarpon Springs, FL | $39.9M | ✓ Clear |
| West Florida Medical Center Clinic Pa | Pensacola, FL | $36.5M | ✓ Clear |
| Murdock Ambulatory Surgery Center Llc | Port Charlotte, FL | $36.2M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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